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NPI Code Detail

MEDICARE: CRESCENT PULMONARY REHAB, LLC

MEDICARE: CRESCENT PULMONARY REHAB, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number : 1437486552
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRESCENT PULMONARY REHAB, LLC
Provider Business Mailing Address
First Line : 3330 KINGMAN ST
Second Line : STE 1
City : METAIRIE
State : LA
Zip : 70006-4235
Country : US
Telephone Number : 504-780-2400
Fax Number : 504-780-2401
Provider Business Practice Location Address
First Line : 4201 WOODLAND DR
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70131-7339
Country : US
Telephone Number : 504-780-2400
Fax Number : 504-780-2401
Authorized Official
Title or Position : PRESIDENT
Name : MR. DINO E VIERA
Credential : JD
Telephone Number : 504-780-2400
Provider Enumeration Date : 11/10/2009
Last Update Date : 11/29/2009

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Directions to “CRESCENT PULMONARY REHAB, LLC ” Practice Location

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